FORM 1023-EZ for LAKELAND AREA SPECIAL OLYMPICS

Field Data
EIN 82-2758771
Case Number EO-2017261-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKELAND AREA SPECIAL OLYMPICS
Organization’s Mailing Address 86 MOHAWK TRAIL
City RINGWOOD
State NJ
ZIP 07456
Accounting period End 12
Primary contact name CAROL SCHAFFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE TELSCHOW
PRESIDENT
5 KINGSLEY ROAD
RINGWOOD NJ 07456

Officer/Director/Trustee Two

PATRICIA TELSCHOW
TRUSTEE
5 KINGSLEY ROAD
RINGWOOD NJ 07456

Officer/Director/Trustee Three

DONNA VOLPE
TRUSTEE
24 TULIP AVE
RINGWOOD NJ 07456

Officer/Director/Trustee Four

CAROL SCHAFFER
TRUSTEE
86 MOHAWK TRAIL
RINGWOOD NJ 07456

Officer/Director/Trustee Five

AUDRA VELLUCCI
TUSTEE
275 MIDLAND AVE
POMPTON LAKES NJ 07442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N72 - Special Olympics
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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